Ingeborg Dziedzic, M.D., P.C.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

153848-1 Issued in NY

Legal business name

INGEBORG DZIEDZIC, M.D., P.C.

Practice address

320 Manville Rd
Pleasantville, NY 10570-2146

Phone

(914) 769-0400

Fax

(914) 769-1405

NPI assigned

Nov 22, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Nora Dempsey

Title

Billing Representative

Phone

(914) 769-0400

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324339200000",
    "number": "1356618193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 MANVILLE RD",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "105702146",
            "telephone_number": "914-769-0400",
            "fax_number": "914-769-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 MANVILLE RD",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "105702146",
            "telephone_number": "914-769-0400",
            "fax_number": "914-769-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INGEBORG DZIEDZIC, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-22",
        "last_updated": "2011-12-20",
        "status": "A",
        "authorized_official_last_name": "DEMPSEY",
        "authorized_official_first_name": "NORA",
        "authorized_official_title_or_position": "BILLING REPRESENTATIVE",
        "authorized_official_telephone_number": "914-769-0400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NY",
            "license": "153848-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Pleasantville, NY
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.